Registration – Bandung Pilot Academy

Full Name

Picture

Date Of Birth

Place Of Birth

Height

Weight

Blood Type

Sex

Id Passport Number

Religion

Mother Language

Address

City

Country

Post Code

Phone (Home)

Phone (Mobile)

Father's Name

Father Occupation

Mother Name

Mother Occupation

Address

City

Country

Post Code

Phone (Home)

Phone (Mobile)

Full Name

Address

City

Country

Post Code

Phone (Home)

Phone (Mobile)

Relationship

Name Of High School

Year Of Graduate

Subject

Institution

Name of Qualification

Year of Completion

Date From/To

Employer

Position

Employment Status

Please list any aviation related hobbies or activities

Please list any academic honours, awards, prizes or other academic recognition received

Please include study undertaken, dates and location

Please list any leadership position you have held

Please list any team roles or activities you have been involved in

Please list any other extracurricular activities or hobbies you believe may be relevant

Briefly state why you want to be a pilot

Who is going to pay for all school fees?

Parents (Orang Tua) Company (Perusahaan)

Interfere with your performance in the Pilot Academy?

Yes (Ya) No (Tidak)

Interfere with your performance in any future employment?

Yes (Ya) No (Tidak)

If yes, please provide details

How do you pay tuition fees?

Cash Installment Anadana

Contact Us
Office                : (+62) 6014699 – (+62) 6127170
Marketing      : +62 821-2638-4929 (Admin)
Email                 : marcom.bpa@gmail.com

Jl. Pajajaran No.154 A Bandara Husein Sastranegara
Bandung 40174
Jawa Barat – INDONESIA

Kantor Pemasaran Jakarta
Office : (+62) 21196474

Jl. Dr. Makaliwe No. 16B Grogol – Jakarta Barat
Jakarta – INDONESIA